Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $151.36	Professional		$28.18	$56.23	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $51.29	Professional	26	$12.02	$18.20	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $33.11 / $81.28	Professional	TC	$16.98	$33.11	$81.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $190.55	Professional		$54.95	$64.57	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.42 / $54.95	Professional	26	$17.38	$20.42	$54.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $41.69	Professional	TC	$35.48	$35.48	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $138.04	Professional		$47.86	$57.54	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $19.95 / $43.65	Professional	26	$17.38	$19.95	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $39.81 / $95.50	Professional	TC	$29.51	$39.81	$95.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $190.55	Professional		$38.02	$38.02	$190.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $14.79 / $54.95	Professional	26	$14.79	$14.79	$54.95
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	TC	$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $154.88	Professional		$44.67	$57.54	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.78 / $44.67	Professional	26	$13.80	$17.78	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $112.20	Professional	TC	$28.84	$38.02	$112.20